| Flagstaff Smiles Llc | |
|
906 W University Ave Ste 100 Flagstaff AZ 86001-7115 | |
| (928) 396-1714 | |
| Not Available |
| Full Name | Flagstaff Smiles Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 906 W University Ave Ste 100, Flagstaff, Arizona |
| Authorized Official Name and Position | Tera Niedens (ACCOUNTANT) |
| Authorized Official Contact | 6232892616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagstaff Smiles Llc 34225 N 27th Dr Ste 241 Phoenix AZ 85085-6091 Ph: (623) 289-2616 | Flagstaff Smiles Llc 906 W University Ave Ste 100 Flagstaff AZ 86001-7115 Ph: (928) 396-1714 |
| NPI Number | 1639805542 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639805542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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